Is It Normal To Have Pain 4 Months After A Hysterectomy?
Learn whether it's normal to experience pain 4 months after a hysterectomy, what it may indicate, and when to seek medical advice. Understand recovery timelines and possible complications.
Written by Dr.Sonia Bhatt
Last updated on 3rd Jul, 2025
Introduction
If you've had a hysterectomy (surgery to remove the uterus) and are still experiencing pain four months later, you might be wondering whether this is normal. While some discomfort is expected during recovery, persistent pain after this long may need attention. Let’s discuss what could be causing it, when to seek help, and how to manage it.
Understanding Post-Hysterectomy Pain
A hysterectomy is a major surgery, and recovery time varies from person to person. Most women feel better within 6 to 8 weeks, but some may experience lingering pain for months. Here’s what you should know:
Normal vs. Abnormal Pain After Hysterectomy
The difference between normal and abnormal pain are as follows:
1. Normal Recovery Pain:
Mild discomfort, soreness, or pulling sensations near the incision site.
Occasional twinges or cramps as internal tissues heal.
Pain that gradually improves over weeks.
2. Concerning Pain (After 4 Months):
Sharp, stabbing, or burning pain that doesn’t improve.
Pain that worsens with movement, sex, or bowel movements.
Chronic pelvic pain or discomfort that affects daily life.
Possible Causes of Persistent Pain
Several factors could contribute to ongoing pain after a hysterectomy:
1. Adhesions (Scar Tissue): Internal scar tissue can form after surgery, sometimes causing pain by sticking organs together.
2. Nerve Damage: Surgical procedures can occasionally irritate or damage nerves, leading to chronic pain.
3. Endometriosis: If endometriosis (a condition where uterine-like tissue grows outside the uterus) was present before surgery, it may still cause pain.
4. Pelvic Floor Dysfunction: Weak or tight pelvic muscles can lead to discomfort.
5. Infection or Complications: Rarely, an untreated infection or surgical complication may cause prolonged pain.
6. Ovarian Pain: If ovaries were left in place, cysts or hormonal changes might trigger discomfort.
Consult Top Specialists for Personalised Tips
When to See a Doctor?
You should consult a doctor if:
Pain is severe or worsening.
There’s swelling, redness, or unusual discharge.
Pain interferes with daily activities or sleep.
You experience fever, nausea, or other concerning symptoms.
Managing Post-Hysterectomy Pain
If your pain is mild but persistent, these tips may help:
1. Gentle Movement & Physical Therapy
Light walking can improve circulation and reduce stiffness.
Pelvic floor therapy can help if muscles are tight or weak.
2. Pain Relief Strategies
Over-the-counter pain relievers (as advised by your doctor).
Heat pads for muscle relaxation.
Relaxation techniques like deep breathing or yoga.
3. Diet & Hydration
Eat fibre-rich foods to prevent constipation, which can worsen pelvic pain.
Stay hydrated to support healing.
4. Emotional Support
Chronic pain can be frustrating. Talk to a counsellor or support group if needed.
When to Consider Further Evaluation?
If pain persists beyond a few months, your doctor may recommend:
Imaging tests (ultrasound, MRI) to check for adhesions or other issues.
Hormone tests if ovaries were removed and hormonal imbalance is suspected.
Referral to a pain specialist for advanced management.
Conclusion
While some discomfort after a hysterectomy is normal, pain lasting four months or more should not be ignored. It could signal an underlying issue that needs treatment. If you're concerned, don’t hesitate to reach out to a healthcare provider.
Consult Top Obstetrics and Gynaecology Surgeon
Consult Top Specialists for Personalised Tips
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Dr M Dharini
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9 Years • MBBS,DGO,MS OG,DNB OG
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Consult Top Obstetrics and Gynaecology Surgeon
Dr Anshu Bansal
Obstetrician and Gynaecologist
18 Years • MBBS, MD,DNB,MNAMS,MRCOG
Chennai
Apollo First Med Hospitals P H Road, Chennai
(25+ Patients)
Dr. Dhwaraga Jeyaraman
Obstetrician and Gynaecologist
16 Years • MBBS, MS OG, DGO
Chennai
Apollo Speciality Hospitals OMR, Chennai
(50+ Patients)
Dr. Swati Shah
Surgical Oncologist
15 Years • DNB Surgical Oncology, certified Robotic Cancer Surgeon
Ahmedabad
Apollo Hospitals Gandhinagar, Ahmedabad
(25+ Patients)
Dr. Rupali Goyal
Obstetrician and Gynaecologist
20 Years • MBBS, DNB (OBGYN), Dip (Usg)
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr M Dharini
Obstetrician and Gynaecologist
9 Years • MBBS,DGO,MS OG,DNB OG
Chennai
Apollo Hospitals Tondiarpet, Chennai
